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CERTIFICATE Of Thorough Visual Examination of Loader Crane Certificate No: _VKSA/MACO/130005_ STICKER#58070 Date of Inspection: _0 ‘Name and Address of the Owner: Place of Inspection: | Ref. Standard: ALMANAR DAMMAM | BS EN 7121-2 PART 4 AL MANAR ARABIAN CORP. YARD P.O. BOX 10257, Dammam-31433 Maker & Date of Manufacture: KINGDOM OF SAUDI ARABIA PALFINGER / 2014 Registration No. ‘Owner No.: Model No. ‘Serial No.: 2300 NVA 632 Pk 88002 EH 100181226 ‘Crane Details LOADER CRANE, BOOM LENGTH IS 5.9 Mtrs, and THE CAPACITY IS 12.5 TONNE AT 4.0 Mtr WORKING RADIOUS Maxi. Outreach: 22 Mtr. Description of Test: 0 Ww ai w) Length of | Radius | TestLoad | S.W.L, A THOROUGH EXAMINATION OF THE BOOM TRUCK Was | BOO” Mes TONNE coe DONE AND A FULL FUNCTIONAL TEST PERFORMED TO CHECK THE HOISTING, LOWERING & SWINGING THROUGH ACCESIBLE AREAS, ON OUTRIGGERS FULLY EXTENDED, ‘THE LOADER CRANE WAS FOUND SATISFACTORY FOR 59 an wa 125 FURTHER USE Note: This Loader Crane should not be used in potential explosive areas without spark arrestor Date of Last Visual Date of Next Visual | Date of Last Proof Load Examination Examination Test 10.06.2019 05.05.2020 N/A Date of Issue: 07.11.2019 ‘Authorized Name: Authorized Signature XX Surveyors Signature: Surveyor's Name: AKHIL CP. THIS IS TO CERTIFY THAT the above signed competent surveyor has thoroughly and visually examined and tested the lifting equipment in the above-mentioned place as per relevant standard. The liabilities and insurance is as per Velosi Saudi Arabia Co. Ltd, Annex to Certificate Of Thorough Visual Examination Certificate No: _VKSA/MACO/130005 Date of Inspection: _ 06.21.2019 [no. [| __DeSCRIPTIOI CONDITION | 1, | SAFE LOAD INDICATOR REMOTE CONTROL | [2 | bury cHarT ee | SaTisractory | 3._| IDENTIFICATION ON CONTROLS LEVERS. SATISFACTORY [ 7 4. | 800M SECTION "__ SATISFACTORY [5._ [MAIN HOIST WIRE ROPE SATISFACTORY | = | s._| MAIN HOIST WINCH — SATISFACTORY 7._| ELECTRICAL SYSTEM ; SATISFACTORY 8, | LIGHTINGS, HORNS SATISFACTORY 9._ | HYDRAULIC SYSTEM SATISFACTORY _| 10. | OUTRIGGERS / CARRIER ‘SATISFACTORY “11._ | WINDSHIELDS / MIRRORS — SATISFACTORY 12, | HOOKBLOCK / SAFETY LATCH / SHEAVES SATISFACTORY 13, | SWING MECHANISM - SATISFACTORY 14, | BRAKES SYSTEM - SATISFACTORY | 15. | TyRES — SATISFACTORY 16. | CONTROL LEVERS SATISFACTORY ROTATING WARNING LIGHT SATISFACTORY REVERSE HORN SATISFACTORY FIRE EXTINGUISHER SATISFACTORY 20. | EXHAUST SYSTEM / SPARK ARRESTOR SATISFACTORY : 21._| SAFETY MARKINGS = ___ SATISFACTORY 22._| POWER UNTT - CARRIER ‘SATISFACTORY 23._ | GENERAL CONDITIONS SATISFACTORY COMMENTS: AT THE TIME OF INSPECTION THE EQUIPMENT WAS FOUND SATISFACTORY, ‘Surveyor’s Name: AKHIL C.P, Surveyor’ Signature: ‘This ceticat fs granted subject to the condition that It understood and agreed that nothing here in contained, ‘eemed to raiave any designer ‘manufacture, sll, supplier or operator of any waranty expres o implied and Velo! Saud Arabia Co.Ltd, ab Delimited to the acts or omission of 5 ‘employees, agents and subcontractors. Under no cieumstance whatsoever shall Velo: Saud Arab Co. Lid, be fable for any injury or damage to any person or property oF occuring by zasan of negigent operation or any defect in ll Sesign, material, mechinery, equipment arotheritems other than such defects asceranable by normaly accepted standards and ony those items actual inspected by Velosi Saud Arabia Co. ed. and whch covered by this carchcate LUABILTY The Gent or ths asianse or supervisor in interest agrees to tly and hold harass Velos Saudi Arabia Co td. rom aad aginst any anal laims ‘demands, lawsuits oF actions for damages including legal fees to persons and/or prooerty tangible, intangible or othewise which may be against, Veos Saudi Arabia o,Ud. incidental to, arsng out of on connection wth the work tobe done, services tobe performed or material tobe fumished hereunder except fr those claims caused solely and completly by the negigance of Velox Saud Arabia Co Ls airectore, ofhces, employees a auo-contractors

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